2017-2018 Multistate Outbreak of Salmonella Typhimurium Infections Linked to Dried Coconut

On March 21, 2018 the CDC announced an outbreak of Salmonella Typhimurium infections linked to consumption of International Harvest, Inc. brand dried coconut. PulseNet was used to identify cases. On May 18, 2018 the CDC declared the outbreak to be over. There were 14 people infected with the outbreak strain of Salmonella Typhimurium reported from 8 states. WGS performed on bacteria isolated from ill people showed they were closely related genetically.

Dates of illness onset ranged from September 22, 2017 to February 26, 2018. Three people had been hospitalized. There were no deaths.

In interviews with dill people, 7 of 8 people (88%) reported eating dried coconut from grocery stores. Of the 7 people who reported eating dried coconut, 4 people purchased the product at different Natural Grocers store locations. FDA and state health and regulatory officials collected dried coconut from ill people’s homes, as well as dried coconut from Natural Grocers store locations where ill people shopped and the Natural Grocers’ Distribution Center. FDA testing identified the outbreak strain of Salmonella Typhimurium in an unopened sample of Natural Grocers Coconut Smiles Organic collected from Natural Grocers. The outbreak strain was also isolated in an opened, leftover sample of Natural Grocers Coconut Smiles Organic collected from an ill person's home. On March 16, 2018, International Harvest, Inc. recalled bags of Organic Go Smile! Raw Coconut and bulk packages of Go Smiles Dried Raw Coconut.

Overview

Outbreak began:September 2017
Affected country:US
States/territories:CA, CO, ID, MO, OR, TX, UT
Pathogen:Salmonella Typhimurium
Location(s):Retail
Brand name(s):Coconut Smiles Organic, Go Smile! Raw Coconut, International Harvest, Inc., Vitamin Cottage Natural Food Markets, Inc.
Molecular test results:Not reported

Health impact

Total ill:14
Number hospitalized:3

Sources & documents

Recall notices
Outbreak documents